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Home My Public Portal About1985-050lueu tee a t Member �2/��+i introduced the following Resolution and moved its adoption: CITY OF MEDINA RESOLUTION NC). g..S,j L' PERMIT/ fi SOLUTION FOR PUBLIC UTILITY INSTALLATION IN CITY RIGHT OF WAY WHEREAS %,ed..40 , a public. utility licensed to do busi ss in the City of Medina, has made application to the City for the installation of tz) d�� e� �„, d oef-ALi within the City of Rle(ii►u1; NOW„ '1'lll':lil:I'l)lil:, lil: IT la:`OLVE') that said application he �!t;,!►!,'I! in :iecorllance with the plans and siwi...il'icalions sul,nliltt tl, suhiect to the It�ll„win conditions: 1. Street and lil,.!Ilt 1,1 \, ay :chap hU re:itoretl to their 1 l !.111:11 l'I,Iltlltl„[I IIllt,l► 1',nlll,lt'tltion l,f In..—Aallatlon :Intl Applicant. shall I, linble for settlement or other damage caused by said installation for a IlerioZ1 uC one year tl,liowiug cI',oil I. 1io11. ., Loin Helton I lAlt' I'� r1,.,rnlai►, I;�,nll i11 the Amount. of: 1►epth or Conduit. v::ly() 1' The 'notion ror the adoption I I the I,,1't'r;olnl.! li aolutitmislolly ,ntletl I,y i\Ielllher �A, �� and ,. II vote tieing taken tip, reoh the lollob1'hipvoted in in favor thereof: Adt4-.507-2f f�Gi��m a �j %c e i.1e r e re_ {, I,:l ie l„II„.t IIIt'. I le,l :iv)»hist l'L�-cJ /./.e,%e// tlli n ;I ICI Il':.I11111.1„t► 1.1" s; d,'l'I:11'l'11 paS:.,l'd and adopted. U p ,1 by lh, City Cirri. this /9ds— ('its c'l� I i. ATTEST: Donna Roehl, Clerk/Treasurer The motion for the adop�tion of the foregoing resolution was duly seconded by member M/7664? // and upon vote being taken thereon, the// following voted in favor`�thereof: St i, AV ad..'Pet of wrn s n ,l f i �� s �i! / /C e /.SPA Al c/et s C and the following voted against same: /Jo ire Whereupon said resolution was declared duly passed and adopted. CITY OF Medina Permit No. Job# M-309-85 APPLICATION FOR PERMIT FOR INSTALLATION OF UTILITIES OR FOR PLACING UNDERGROUND CONSTRUCTION Name of Party or Organization performing work MINNEGASCO, INC. Address 201 South Seventh Street 1. Nature of Work Installation of gas service main Telephone No. 3 4 3— 7 0 2 3 Type of Surface to be Disturbed (Check type) (Gravel) (Bituminous) (Concrete) (Boulevard) 2. Location Street, Avenue and House number See attached i✓ 1: (Additional information attached when necessaxy)ST 3. Size and kind of pipe, conduit or cable Depth from Surface 2.5 feet ± Dimensions of Excavation 4. Method of Installation or Construction (including method of compaction and excavation) In accordance with procedures as described in Minnegasco Distribution Department Operations Manual, )45' Section 500, "Excavating, Backfilling and Surfacing", the most recent edition on file with the permitting authority. Machine Excavation: Yes X No 12-31-85 5. Work to start within ' days and completed with days thereafter. 6. Will detouring of traffic be necessary? No If so, describe routing: For MINNEGASCO, INC. (Qpplicant) Signed By Dated The date when work is completed must be reported to the person designated by municipality. AUTHORIZATION OF PERMIT Upon payment of permit fee in the amount of $ and in consideration of the agreement to comply in all respects with the Street or Alley excavation ordinances and regulations applicable covering such operations, permission is hereby granted for the work to be done as described in the above application, said work to be done in accordance with special precautions required, as hereby stated: It is expressly understood that this permit is conditioned upon replacement or restoration of the road surface to its proper condition in accordance with the appropriate rules and regulations. It is further understood that this permit is subject to revocation within ten (10) days of receipt of copy of application by the County Engineer when the permit is for work on a County Road. APPROVED DATE All requirements shown on reverse side to be complied with. White copy to applicant, yellow to Municipality Engineer, blue to Municipality Street Superintendent. Form 16 R3/82 RULES PERTAINING TO STREET AND ALLEY EXCAVATIONS SAFETY 1. Excavations shall be properly protected and identified by barricades and flags in the daytime, and flares, red lanterns or flashing signals at night, to protect persons and traffic at all times. 2. Barricades to be erected in a manner which will provide suitable visibility in all directions. 3. Excavations must be cribbed when necessary, depending upon type of soil, in order to prevent cave-ins. 4. No guys or stays to be attached to trees on Right of Way. 5. Underground construction must be so constructed as not to harm or unnecessarily destroy the root growth of sightly or ornamental trees. ROADWAY 1. Installation of pipe under concrete or high type of bituminous pavements to be done by jacking or boring unless otherwise authorized by Engineer. When an installation is made by jacking or boring a pipe three inches or larger in diameter, a casing of larger dimension must be used to encase the service pipe. 2. All back -filling must be placed in 6-inch layers and thoroughly tamped, and material must be flush and even with the road surface when finally in place, unless Engineer authorizes alternate method of construction. 3. Finished surface, base, and sub -base of road after excavation and back -fill, shall be at least equal in stability to finished surface, base, and sub -base prior to excavation. 4. Concrete pavement to be replaced according to specifications which will be provided by the Engineer. 5. If settlement or excavation caves in within one year from completion date so that replaced materials settle (bituminous mat or concrete base), same shall be restored to its original condition by the holder of this permit. 6. No pole anchors, anchors, braces, or other construction to be put on roadway shoulder except by special authorization. 7. No driving onto highway from ditch or driving on shoulders except when authorized by the Engineer, and if damage occurs, permit holder will make proper repairs. 8. No machine excavation shall be permitted except when noted in application for permit. 9. Excavations greater than four feet in width at top of trench will not be generally permitted and may be made only when expressly provided for on the permit. 10. Streets may not be closed to traffic unless expressly authorized by the permit. LIMITATIONS 1. No lugs shall be used on equipment traversing road which will damage the road surface. 2. Roadside shall be cleaned up after work is completed. 3. No work shall be done which will create a nuisance. 4. Within 24 hours, (Saturdays, Sundays and legal holidays excluded) the permit holder shall notify the municipality issuing the permit and, when applicable, the County Engineer, that such work has been completed and is ready for final inspection. 5. Within ten days after receipt of a copy of the permit application the County Engineer shall notify the applicant of any objection the County may have to the application.